@layout("/common/_container.html"){
<div class="ibox float-e-margins">
    <div class="ibox-content">
        <div class="form-horizontal"  id="policyInfoForm">
            <input name="formToken" type="hidden" value="${session.formToken}" />
            <div class="row">
                <div class="col-sm-6">
                    <#select id="insuranceId" name="保险公司" underline="true" >
                    @for(insurance in insurances!){
                    <option value="${insurance.id}">${insurance.insuranceAbbr}</option>
                    @}
                    </#select>
                    <#input id="effectiveDate" name="生效日期" underline="true" type="text"/>
                    <#select id="policyType" name="保单类型" underline="true" onchange="PolicyInfoDlg.selectPolicyType()">
                    <option value="1">集合保单</option>
                    <option value="2">独立保单</option>
                    </#select>
                </div>

                <div class="col-sm-6">
                    <#input id="policyCode" name="保单号" underline="true" maxlength="30"/>
                    <#input id="invalidDate" name="失效日期" underline="true" type="text"/>
                    <#select id="tenantId" name="所属客户" underline="true" >
                    @for(tenant in tenants!){
                    <option value="${tenant.id}">${tenant.tenantName}</option>
                    @}
                </#select>
                </div>
            </div>

            <div class="row">
                <div class="col-sm-9">
                    <div class="form-group">
                        <label class="col-sm-2 control-label">缴费方式</label>
                        <div class="col-sm-3">
                            <select id="paymentCycle" class="form-control" onchange="PolicyInfoDlg.selectPaymentCycle()">
                                <option value="0">缴费周期</option>
                                <option value="1">月缴</option>
                                <option value="2">季缴</option>
                                <option value="3">年缴</option>
                            </select>
                        </div>
                        <div class="col-sm-3" >
                            <select id="chargeMode" class="form-control" disabled  onchange="PolicyInfoDlg.selectChargeMode()">
                                <option value="0">计费方式</option>
                                <option value="1">按天计费</option>
                                <option value="2">按月计费</option>
                            </select>
                        </div>
                        <div class="col-sm-4">
                            <select id="deadline" class="form-control" disabled>
                                <option value="0">计费截止日</option>
                                <option value="1">1</option>
                                <option value="2">2</option>
                                <option value="3">3</option>
                                <option value="4">4</option>
                                <option value="5">5</option>
                                <option value="6">6</option>
                                <option value="7">7</option>
                                <option value="8">8</option>
                                <option value="9">9</option>
                                <option value="10">10</option>
                                <option value="11">11</option>
                                <option value="12">12</option>
                                <option value="13">13</option>
                                <option value="14">14</option>
                                <option value="15">15</option>
                                <option value="16">16</option>
                                <option value="17">17</option>
                                <option value="18">18</option>
                                <option value="19">19</option>
                                <option value="20">20</option>
                                <option value="21">21</option>
                                <option value="22">22</option>
                                <option value="23">23</option>
                                <option value="24">24</option>
                                <option value="25">25</option>
                                <option value="26">26</option>
                                <option value="27">27</option>
                                <option value="28">28</option>
                            </select>
                        </div>
                    </div>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-1 control-label" style="margin-left: 6px;">备注</label>
                <div class="col-sm-10" style="margin-left: 24px;">
                    <textarea class="form-control col-sm-10" id="comment" maxlength="500"></textarea>
                </div>
            </div>

            <div class="row btn-group-m-t">
                <div class="col-sm-12" style="text-align: center;">
                    <#button btnCss="info" name="提交" id="ensure" icon="fa-check" clickFun="PolicyInfoDlg.addSubmit()"/>
                    <#button btnCss="danger" name="取消" id="cancel" icon="fa-eraser" clickFun="PolicyInfoDlg.close()"/>
                </div>
            </div>
        </div>

    </div>
</div>
<script src="${ctxPath}/static/modular/system/policy/policy_info.js"></script>
<script>
    laydate.render({
        elem: '#effectiveDate'
    });
    laydate.render({
        elem: '#invalidDate'
    });
</script>
@}
